Dentist is ‘taken’

Dentist is ‘taken’

LETTERS TO THE EDITOR THE JO U R N A L d e vo te s th is s e c tio n to c o m m e n t b y re ad e rs on to p ic s o f c u rre n t in te re s t to d e...

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LETTERS TO THE EDITOR

THE JO U R N A L d e vo te s th is s e c tio n to c o m m e n t b y re ad e rs on to p ic s o f c u rre n t in te re s t to d e n ­ tis try . T h e e d ito r re serve s th e rig h t to e d it all c o m m u n ic a tio n s to f i t a v a ila b le s p a c e and re q u ire s th a t a ll le tte rs b e s ig n e d . P rin te d c o m m u n ic a tio n s d o n o t n e c e s s a rily re fle c t th e o p in io n o r o f­ fic ia l p o lic y o f th e A s s o c ia tio n . Y o u r p a rtic ip a tio n In th is s e c tio n is In vite d .

N e w ag e-a ssessin g m eth o d

■ I am currently working with some scientists at the U niversity of Calif­ ornia at San D iego in La Jolla. R ecently, a new m ethod of assess­ ing the age of living human beings and other long-lived mammals has been developed using the racem ization reaction of aspartic acid con­ tained in enam el1 and dentin.2 The developm ent o f this technique is an outgrow th of w ork on the use of am ino acid racem ization reaction to date fossil m aterials. T he racem ization technique is based on th e fact that initially all the aspartic acid present in proteins is of the L-configuration. H ow ever, in m etabolically inert proteins (those which are not regenerated during the life span of an animal) a reaction called racem ization slowly converts some of the L -aspartic acid to D -aspartic acid; thus, the D /L aspartic acid ratio steadily increases with increasing age of the animal. N o such increase is ob­ served in m etabolically active pro­ teins such as hem oglobin. We have m easured the extent of aspartic acid racem ization in enamel and dentin in teeth extracted from my patients ranging in age from 8 to 75 years old. Only a lim ited num ber of teeth from older individuals (greater than 65 years old) have been analyzed. We would, therefore, like to request

that any teeth ex tracted from indi­ viduals g reater than 65 years old be sent to us for analysis. T he tooth should be accom panied by the date of extraction and the birthdate of the individual. One of the m ore interesting appli­ cations of our w ork on racem ization in hum an teeth would be to examine the claim s of unusual longevity among peoples living in E cuador, H unza, and G eorgian Russia. We would greatly appreciate obtaining specim ens from anyone having access to teeth (or even the roots) from people in these regions. A gain, we would require— along with the to o th —the age claimed by the individual and the date the tooth was extracted. Since this aging technique can be applied to any long-lived mammal, we have been interested in analyzing teeth from large anim als of known age. Initial results on teeth from sperm w hales look encouraging, and we plan to analyze the spotted dolphin, also. T he potential application of race­ m ization ages is in constructing age profiles fo r natural populations of land and sea m am m als. Such infor­ m ation would be very useful in eco­ logical studies, wildlife m anagem ent, and conservation. We welcome any specim ens of teeth from dom esti­ cated or captive m am m als, of known age, and especially teeth from very old anim als. Please send dry specim ens (not to

be returned) to J. F. Jo n e s, D D S , 7761 H erschel A ve, L a Jolla, Calif 92037. T his is an exciting new “ y ard stick " to which 1 feel dentistry can contribute a great deal. W e’ve already proved the La Jolla Indians w ere here 50,000 to 60,000 years ago instead of 10,000. JER R Y F. JO N E S , D D S LA JO L L A , C A L IF

1. H e l f m a n , P . M . , a n d B a d a , J . L . A s p a r t i c a c i d r a c e m i z a t i o n in t o o t h e n a m e l f r o m living h u m a n s . P r o c N a tl A c a d Sci U S A 72:2 891 , 1975. 2. H e l f m a n , P . M . ; B a d a , J . L . ; a n d J o n e s , J . F . A s p a r t i c ac id r a c e m i z a t i o n in d e n t i n e f r o m living m a m m a l s , in p r e p a r a t i o n .

D e n t i s t is ‘t a k e n ’

■ 1 feel that I’ve been taken by a con­ fidence man and that the j a d a was his unw itting accom plice. O n page 41 of the January 1967 j a d a , a com pany ended its advertisem ent with this statem ent: “ A generation from now y o u r(trad e name) will be a m useum piece . . . but if anyone asks, you can say ‘Sure it still runs . . . it’s m ade by com pany ( )■’ ” Based on this and sim ilar claim s for longevity which this com pany had been making in previous issues of t h e j o u r n a l , I p urchased a new unit X in 1966. This w eek my servicem an inform ed me that repair parts are un­ available and the only thing he can JADA, Vol. 92, M arch 1976 ■ 4 9 7

provide would be parts from a used unit if he can find one to strip. T his sam e situation arose last year and I obtained the help of the A D A ’s Council on D ental M aterials and D e­ vices. It w rote the com pany and an apparently used part was provided. I find this totally unacceptable. I do not believe that a major investm ent such as a dental unit should have to be serviced with used parts years be­ fore the unit is fully depreciated. H ow can the com pany make such glowing prom ises and then be p er­ m itted such sloppy practices? H ow can it expect equipm ent to function into the next generation, when repair parts are unavailable now ? P erhaps, it m eant a generation of fruit flies. If so, you should require it to be m ore specific in its advertisem ents. A pparently, the Council on D ental M aterials and D evices has a very lim ited effect on the com pany. I would like to m ake a suggestion that until its pow ers increase, you could make a contribution by requiring a statem ent fo r each advertiser, such as: “ T he m anufacturer w arrants the availability of new repair parts for a period of X y ea rs.” T he reader then could make an inform ed decision based on facts, not flim-flam. I believe I have a right to expect b etter things from advertisers who are perm itted to solicit my patronage in my professional journal. JA M E S T . O ’ C O N N O R , D D S G O S H E N , NY

state board was a reiteration of the law stating that a hygienist could only w ork w ith supervision of a dentist. I agree with the author that sys­ tem atic preventive dentistry is imper­ ative for residents of county and nurs­ ing hom es and feel that the state board should m ake exceptions for hygienists as long as they are checked by a li­ censed dentist. R A L PH A . B E R M A N , D D S SO U T H B E N D , IN D

G rateful fo r assistance • I wish to express my gratitude, and my colleagues join me in this ex­ pression, for the excellent assistance provided us and the courtesies show n us during the preparation for publica­ tion of our article, “ T he influence of proxim al retention grooves on the re ­ tention and resistance of Class II preparations fo r am algam s” (N ovem ­ ber j a d a ) . D ue to the necessity for meeting a personal deadline and because I could not conveniently locate an article by Miles I. M arkley relating to the sub­ je c t m atter covered in our article, I com m itted a serious error in not re­ ferring to D r. M arkley’s publication. D r. M arkley has m ade excellent contributions to our profession, both as a practitioner and publisher, and influenced me considerably in deter­ mining my present philosophy and concept. I am very eager to acknow ­ ledge D r. M arkley’s influence. W . D . CRO CK ETT, DDS V IR G IN IA C O M M O N W E A L T H

On dental supervision

U N IV E R S IT Y

■ I recently read an interesting article on dentistry and county home resi­ dents. O ver a year ago, I w rote to the In­ diana S tate Board of D ental Exam ­ iners requesting perm ission for my dental hygienist to spend one day a m onth at nursing hom es where 1 am the dentist on call. T he invalid pa­ tients are badly in need of prophylaxis and, with my portable equipm ent, a very thorough prophylaxis could be perform ed. I would stop in the even­ ing and exam ine the patients to check on her w ork. T he answ er I received from the

R IC H M O N D , VA

A ‘m agnificent jo b ’ ■ M ay I express my adm iration and appreciation for the magnificent job you have done as editor. Y our editorial courage in publishing both sides of controversial subjects has m arked a new high for our j a d a and the A m erican D ental A ssocia­ tion. H ere’s wishing you another great editing year.

498 ■ LETTERS TO THE EDITOR / JADA, Vol. 92, March 1976

AV ER Y S. K R A S H E N , D D S C H IC A G O

H urts dental image m I ca n ’t help adm iring R enate Joseph for writing her letter of indignation (D ec 1 A D A N e w s) regarding lec­ tu re rs’ crude put-dow ns of th e fem ale sex. I have known people in the audi­ ence to w alk out during offensive presentations. (People in my audience w alk out for other reasons.) O bscenities hardly belong on the agenda o f the dental lectu rer’s circuit. T his also should include racist jokes. T he image o f dentistry is suffering enough from oth er indiscretions with­ out being derogatory about the human race. W IL M E R B. E A M E S , D D S EM O R Y U N IV E R S IT Y

‘P icking’ a patient m As an am using com m ent, may I call your attention to the copperplate en­ graving by L ucas van L eyden on page 953 of the N ovem ber j a d a ? If you observe the young lady assis­ tant with the innocent posture, you will notice that she is picking the purse o f the poor victim. B E R N A R D S. K R IST A L , D D S RO CH ESTER, NY

R eference service fo r serum s ■ T he following is inform ation on a reference service for serum s contain­ ing selected tissue antibodies. I sub­ mit this on behalf of the International Service for Im m unoderm atology L aboratories (IS IL ) for publication in your journal. R eference serum s for antinuclear antibodies, sm ooth m uscle, m ito­ chondrial antibodies, tw o types of thyroid antibodies, and other tissue antibodies are available for labora­ tory directors and responsible labor­ atory w orkers through the IS IL , a nonprofit foundation. O ne of the objectives of the IS IL is to assist responsible laboratory w ork­ ers achieve more reproducible and reliable clinical laboratory tests in th e diagnosis o f autoim m une diseas­ es.